They can bring relief and are a common treatment option. At least Effoxor has a generic form. She said at the same time: if they were already taking it she wouln't change them and she was taking them temp. They both can . is switching me from Effexor XR to Cymbalta because the Effexor has made my blood pressure very high. If you have any questions or concerns about side effects, be sure to ask. Low levels of norepinephrine are also linked to mental health issues, including depression, attention deficit hyperactivity disorder (ADHD) and lack of focus. Until then, your symptoms may get better, worse, or stay the same. and may need to adjust the dose or switch to a different medication. J Psychosoc Nurs Ment Health Serv. My doctor is switching me to Cymbalta, but we didn't discuss the transtion. Cross-tapering is a standard approach in many cases, says psychiatrist. Some of you know that I have mentioned a strange "salt shaker head" feeling on Effexor, so when I read this, it shook me up a bit. Hope you get some relief! Each person is different what works for you may not work for someone else. Heres what you should know about side effects and withdrawal before making the switch. Effexor and Cymbalta are both effective, proven medications for treating depression and certain forms of anxiety. So my doctor added 75 mg in addition to the 150 mg. That did not help. You can unsubscribe at any time. For many, deciding to take an antidepressant medication is a very big deal. Potential adverse effects of discontinuing psychotropic drugs: part 2: antidepressant drugs. (2018). Am Fam Physician. One of the most common questions regarding antidepressants involves strategies for switching medications. , faculty member at the University of Miami Miller School of Medicine. Anyone else go through symptoms this strong ? Strategies and solutions for switching antidepressant medications. And dont be afraid to speak up. Appendix D: Switching antidepressants. a1!fcbmb_?QjMaspwh0) 6z4X{589}r }: It will be seen with symptoms such as irregular muscle movements, reduced blood pressure, seizures, and drowsiness. my dr. has changed them all. But for other people, side effects like alow libido, dry mouth, or nausea are deal breakers. If your antidepressants dont work, you may need to switch medications. The doctor told me to replace the cymbalta with the savella the next day since they were similar meds. TABLE 1. Taper, washout and switch. (2017). Cymbalta (duloxetine): Usual switch is tapering one antidepressant while starting the other at low dose. My doctor now wants me to stop the Effexor and switch to Cymbalta. 2006;13:e69-e74. She did say that she had withdraw sypmtoms with effexor. 2015;5:357-368. You should contact your doctor about possibly weaning down from the Effexor, I would. In addition to starting a new antidepressant, starting or continuing therapy can also help you get better. If youre living with depression, your doctor will likely start you on a treatment plan of antidepressants such as a selective serotonin reuptake inhibitor (SSRI) or serotonin-norepinephrine reuptake inhibitor (SNRI). Guidelines for switching between specific antidepressants TO FROM citalopram escitalopram paroxetine sertraline (SSRIs) fluoxetine fluvoxamine vortioxetine agomelatine desvenlafaxine duloxetine venlafaxine (SNRIs) mianserin mirtazapine reboxetine amitriptyline imipramine nortriptyline doxepin dothiepin trimipramine (TCAs) clomipramine . But, in the meantime, talk to your provider if withdrawal symptoms are bothering you. I was recently switched to Zoloft after being on Celexa for 5 years. X S cT@CZ(-prAWSHsiHR55(@h {Ks5:7Zy5a>u}|{PCnzA=ALD(|xo| !Q z@o?q1PRdtCcs{ K[{s_q^h9qt@ip|$e05uGI|2I\ ELM'7=/hXX] YA8)GOCTZ(op4xF{h>[MO_f9u%XP/co X$ You spend a lot of time thinking about it, weighing the pros and cons, and, talking to your healthcare provider about options. When an antidepressant doesnt work as intended, doctors can increase the dose or add other treatments such as cognitive behavioral therapy. You may have to change medications at some point to find one that works well for you. I have switched from Cymbalta to Effexor in the past and am going to again now.because I just can't afford Cymbalta..I have major depressive disorder but also have Fibromyalgia and the cymbalta + my Neurontin really take care of that pain..so I know the Effexor will take care of the depression and will be in extreme pain in about 3 weeks..I've not had a probklme with the swithc in the . It is often recommended to "cross-taper" when switching from one antidepressant to another, especially when the medications are in different classes. Potential adverse effects of discontinuing psychotropic drugs. Although there was no consensus on best practice, many studies recommend at least 4 weeks of tapering the dose before discontinuing the medication. Trouble sleeping. If youre prescribed Effexor, it may take several weeks for your medication to start working. I could be commenting on a 2 year old question (I didn't look). First tried to switch me to Zoloft and that made me worse (February 2014). I've been taking effexor for over 10 yrs, and part of the reason is for fibro pain. In practice, this approach is rarely attempted, with the exception of discontinuing an MAOI. My doctor obtained authorization from the insurance company to switch me over to Cymbalta 60 mg. I took my last dose Venlafaxine on a Wednesday and replaced it with the Cymbalta the next day. Direct switch: stop the first antidepressant abruptly and start new antidepressant the next day. The information contained herein is not a substitute for and should never be relied upon for professional medical advice. Hey, LynninPA! Ultimately, the goal of switching antidepressants is to find a medication that works for you. They may suggest adjusting your dosage of Effexor or slowing down the tapering process to give the drug more time to exit your body gradually. Jan 1, 2007. Reducing your antidepressant dose or stopping medication entirely can cause withdrawal symptoms, including: If you start taking a new medication before the old one is out of your system, you can develop a rare but serious condition called serotonin syndrome. Advantages and disadvantages of various switching strategies, TABLE 3. All I want? Gabapentin is an anti- seizure (anticonvulsant) medication and Cymbalta is a selective serotonin and norepinephrine reuptake inhibitor (SNRI) antidepressant. Paresthesia (burning or prickling sensation). What is the highest recommended dose for Cymbalta? Your provider will use all of this information combined with their knowledge about medication effectiveness and safety to decide how quickly to switch you over to a new antidepressant. include fatigue, nausea, insomnia, vertigo, dizziness, and fogginess. It can also be helpful to let your friends and family know that youre transitioning to a new medication, so that they can support you in taking the next step. 37s;_`?nHT*Ec1I>\1~LjHs8zUp1k8, LMNTQFJ0TM$8+EU681*PJ*29)AnQL$MaY4/y @p.my8n^C+$F|o%. The stress and sadness of moving can sometimes lead to relocation depression. If you think you may have a medical emergency, immediately call your physician or dial 911. This approach involves switching directly from one antidepressant to another, without any tapering or wash-out period. 1 For example, you might feel nauseated, dizzy, short-tempered, confused, restless, and/or distracted. Created for people with ongoing healthcare needs but benefits everyone. 3-4 days@ 150 mg Effexor and 30mg Cymbalta 3-4 days @75 mg Effexor and 30 mg Cymbalta 3-4 days @37.5 mg Effexor and 60 mg . If you're going to start the cymbalta, you should decrease the effexor while you start a partial dose of the cymbalta. We usually go for something that has the least amount of side effects in general, says psychiatrist Samuel Mowerman, MD, faculty member at the University of Miami Miller School of Medicine. This article is not medical advice. Symptoms of depression include: Depressed mood - feeling sad, empty, or tearful. Effexor and Cymbalta can both cause side effects, some of which may develop shortly after you start treatment. The Lancet. As for switching meds, its never a good idea just to switch over cold turkey. I think you should discuss it with your doctor first and make sure everyone is clear about you're doing. Serotonin syndrome occurs when your serotonin levels increase beyond a safe level. Common signs of OCD include intrusive and distressing thoughts. Cross-taper: This means you gradually lower (taper) the dose of your old antidepressant, while slowly starting the new one at the same time. Research shows that meditation can help lower stress, improve sleep, and decrease pain. They can help you understand what youre going through and encourage you to keep moving forward. During this time, be sure to keep track of how youre feeling. I take a lot of meds-doc says its that or misery,rest of my life.The effexor was great at first but after 5 yrs. Common SNRIs include duloxetine (Cymbalta) and venlafaxine (Effexor). Our experts continually monitor the health and wellness space, and we update our articles when new information becomes available. People who dont respond to the first drug they try may need to switch to a different antidepressant. This strategy is used when the two antidepressants have the potential to interact with each other. Effexor (venlafaxine) withdrawal, a common form of antidepressant discontinuation syndrome, occurs if you abruptly stop taking it. Make sure to follow their instructions and gradually reduce your dosage over time, then start Cymbalta at the prescribed dosage. Several strategies can help ease this transition. Practice guideline for the treatment of patients with major depressive disorder. Milder adverse events will dissipate with time, but severe, life-threatening events require immediate medical attention. As the others have said, what works for one may not work for another. Its always better to talk to your doctor about (making) these changes, Dr. Laje says. I have tried Effexor also but it didn't work for me. Stop venlafaxine . Do not use for customer service inquires. Switching antidepressants needs to be done carefully and with the help of your doctor. Important: FOR MEDIA ONLY. Above all, even if you feel like your antidepressant isnt helping, dont stop taking it before talking to your provider. Patients switched to duloxetine reported significantly lower rates of nausea and fatigue compared with patients initiating duloxetine. It really is that bad. INTRODUCTION. Cross tapering allows you to avoid some of the most serious withdrawal symptoms. i only hold myself accountable!! I told my Dr. on Friday that I can't deal with the side effects: nausea, anxiety, jumpy, head zaps, head twitches, flu symptoms, fatigue and extremely dizzy. Some case studies have found that when combined with tapering, amino acid supplements like L-tryptophan and DL-phenylalanine may help ease SNRI withdrawal symptoms while vitamin D, cod liver oil, and a vitamin B complex can assist in other ways, such as by improving cognition and . just staring new ones. J Pharm Pract. Cross-tapering is beneficial for individuals who are at high risk for relapsing from any improvement gained with the first medication, or are prone to discontinuation symptoms. Make sure you gradually reduce Effexor, as withdrawals are very difficult, and can make you feel very ill. Do it gradually, and others say, start the other med whilst gradually reducing Effexor. Be sure to reach out to your provider with any questions or concerns. Not everyone experiences side effects, and some people are willing to tolerate certain side effects from medication if its helping their depression. Brand names: Cymbalta, Drizalma Sprinkle, Irenka. The initial reason for my post was to ask if any one has switched back to Pristiq after taking another AD for 4 days and if they had any issues in doing so. 2. If youre not happy with your current medication, talk to your healthcare provider. By providing your email address, you agree to receive emails containing coupons, refill reminders and promotional messages from GoodRx. This may lead to a more rapid switch in the hope of realizing benefit from the new medication as quickly as possible. Seroxat/Paxil 20mg, Effexor 75mg, Cipramil/Celexa 20mgs, Lustral/Zoloft 50mgs are equivalent to 20mg of fluoxetine liquid. Antidepressants can take up to 1 month to start working in full effect. But that's just my opinion.Best wishes, WCV (also in PA! A 50% success rate for pain sounds very good to me. https://www.uptodate.com/contents/switching-antidepressant-medications-in-adults. I forget what being human feels like and enjoying yhe worlds beauty! Another option could be to raise your Effexor, but your doctor thought that this was your best option. You gradually decrease the amount of your original antidepressant, then stop taking it altogether. , chief medical officer at Success TMS. Learn more about bipolar symptoms and treatments here. Your healthcare provider may recommend switching from Effexor to Cymbalta if you dont notice any improvements in your moods or other depression symptoms, or if you have side effects that dont get better over time. Its important not to stop taking Effexor without tapering, as doing so can increase your risk of experiencing withdrawal symptoms. *Pill should not be cut. If the agent was used for a long period, or the patient was taking a high dose of medication, the cross-taper method is recommended. Mama, is this WildCat proud to be living in PA?? It causes shivering, tremor, elevated blood pressure, a fast heart rate, an elevated body temperature and other symptoms. American Psychiatric Association. How do you know if you need to change your antidepressant? %%EOF According to Dr. Mowerman, the features of your particular kind of depression will also affect the choice. However, there are pros and cons. As you decrease the effexor, you increase the cymbalta. This is the case with Effexor and Celexa as Effexor is classified as a serotonin-norepinephrine re-uptake inhibitor (SNRI) and Celexa is classified as a selective serotonin re-uptake . One of the most common questions regarding antidepressants involves strategies for switching medications. This information is for informational purposes only and is not meant to be a substitute for professional medical advice, diagnosis or treatment. I would also like to sign up for a free GoodRx account, Written by Tegan Smedley, PharmD, BCPS, APh. 2016;39:76-83. 56 0 obj <>stream It works wonders for me with the fibromyalgia and depression. My doctor now wants me to stop the Effexor and switch to Cymbalta. "It's always better to talk to your doctor about (making) these changes," Dr. Laje says. This first week I'm supposed to take half a 50mg of zoloft and take my one 75mg of effexor every second day.Then next week stop taking effexor completely and take one 50mg of zoloft . 9. Muscle changes, such as lack of coordination, stiffness, rigidity, or muscle jerks (especially in the legs), Sweating, shivering, flushed skin, fever, or hyperthermia, And dont be afraid to speak up. 2010;48:11-14. Side effects of switching antidepressants. Your healthcare provider will inform you if you need to stop using any medications while starting treatment with Effexor or Cymbalta or switching from one medication to the other. By KEVIN SCOTT FERENTZ, MD. Switching and stopping antidepressants. Cymbalta and Effexor can treat symptoms of depression, but which one is right for you depends on your health history and the recommendation of your care provider. National Health Service. However, Fetzima is more selective for blocking norepinephrine than these others as much as a 15-fold greater selectivity for norepinephrine than for serotonin. During this time, be sure to keep track of how you're feeling. The need to mitigate the risk of discontinuation syndrome is particularly important when directly switching antidepressants or rapidly decreasing the dose of the first antidepressant. Also, only a small number of users report intolerable side effects.Back to your question. Over time, it made me agitated/irritable so I weaned off (to say the withdrawal was bad is a huge understatement.) Everything You Need to Know About Antidepressants That Cause Weight Gain, Stopping Antidepressants Too Early Can Increase the Risk of Relapse, Everything You Need to Know About Depression (Major Depressive Disorder), How to Use a Depression Checklist to Track Your Symptoms. Yes they are almost alike, but they are different meds and just switching can still cause a problem. I've been taking it for 5 yrs and I guess it helps somewhat. I hope they find something that works for you, my heart goes out to you; I share your frustration and understand. How do you switch from taking 225 mg of Effexor to 60 mg of Cymbalta? Pristiq and Effexor Are Almost the Same Drug. After taking Effexor XR 150 mg for many years it seems to have lost its effectiveness. The added effects of more than one antidepressant can lead to an excess of serotonin in your body. Your provider might use an antidepressant switching chart to help decide how quickly you can start the new medication. Direct switching. Subscribe to Drugs.com newsletters for the latest medication news, new drug approvals, alerts and updates. (2015). In other cases, a change of antidepressants is necessary. I moved from Venlafaxine to Duloxetine, and I find it considerably more tolerable, as well as more effective. You can start decreasing the Effexor dose but it usually takes several weeks to avoid discontinuation symptoms. This involves reducing the dosage of your original medication, then starting the new medication at a low dose. Duloxetine has an average rating of 6.2 out of 10 from a total of 684 reviews for the treatment of Depression. 2022 Hims & Hers Health, Inc. All rights reserved. Towards the end you can then start adding in the Cymbalta in increasing doses.I'd advise another talk with your doctor that addresses your valid concern.Best regards and good luck to you! Ionescu DF, et al. Turns out SDS is incredibly common and can cause a mish-mash of symptoms to make you miserable: flu-like dizziness, nausea, fatigue, chills, headaches, insomnia, nightmares, and "brain zaps . Guide for switching antidepressants. It is intended for general informational purposes and is not meant to be a substitute for professional medical advice, diagnosis, or treatment. As a general strategy, it is best to taper over at least 4 weeks if the agent was previously taken for 6 weeks or longer, and reduce the dose of the first medication by 25% per week.7 The first medication can be reduced at a slower rate if discontinuation symptoms were experienced previously, or if the patient is not tolerating the initial switching strategy. 2013;26:389-396. Gradually one was stopped as the other was increased slowly. There are many different types of assessments to screen for depression. I'm a little surprised that your doctor didn't give you a weaning schedule to gradually lower your Effexor dose as you increase the Cymbalta. Only one in three people will be symptom-free after taking one type of antidepressant. Switching antidepressants can be accomplished by the following strategies: 1. Norepinephrine, or noradrenaline, is involved in managing your attention, sleep-wake cycle and ability to create memories. Talk with your doctor and see what they suggest. (2017). Only one-third of people experience symptoms remission from their first course of antidepressants. If youre concerned that your current prescription isnt as effective as it should be, talk to your doctor about switching antidepressants. For example, if youre already taking one SSRI, your doctor might suggest trying another one, like. taper and stop drug, then wait 14 days (21 days for imipramine) before starting MAOI. GoodRx is not offering advice, recommending or endorsing any specific prescription drug, pharmacy or other information on the site. Cymbalta success stories. Furthermore, providers must consider the severity of their patients mood symptoms and weigh it against the concern of adverse drug events. When you do make the switch, there are several possible processes for doing it: MAOIs and tricyclics are two classes of antidepressants that should be tapered off first with time for the blood levels to go to zero before starting a new antidepressant, Dr. Israel says. Before switching between antidepressants, consider: Patient experience and preference may supersede this framework in any scenario There is no single approach to switching antidepressants that can be applied to all patients, and published data on "optimal" switching strategy are scarce. (2017). Depression is a mood disorder that can affect a persons daily life. endstream endobj startxref Get guidance from your doctor about how to switch from one to the other. This is primarily used for medications that could have dangerous interactions, such as a monoamine oxidase inhibitor (MAOI) and . Cymbalta initially worked ok, despite stomach upset. Switching strategies that we discuss are listed in Table 2. In the case of rapid discontinuation of mirtazapine, reports include hypertension, tachycardia, insomnia, and mild anticholinergic withdrawal.3 In the case of rapid discontinuation of MAOIs, potential symptoms may include flu-like symptoms, tachycardia, hypertension, restlessness, dysphoria, excitation, or psychosis. How long does it take to adjust to a new antidepressant? Taper and switch: This means you taper and stop your old antidepressant, and then, once youve fully stopped your old antidepressant, you start the new one the next day. Youre already taking it a 2 year old question ( i did n't look ) share your frustration and.... Cymbalta at the same sypmtoms with Effexor savella the next day, PharmD BCPS... Your healthcare provider are bothering you rate for pain sounds very good to me switching to! General informational purposes and is not meant to be living in PA of Effexor 60! Should never be relied upon for professional medical advice see what they suggest they can relief! Be living in PA Laje says serotonin syndrome occurs when your serotonin levels increase beyond a level... It helps somewhat symptoms are bothering you she had withdraw sypmtoms with Effexor avoid some the. Similar meds tolerable, as well as more effective and switch to Cymbalta doctor told me to stop taking XR. People with ongoing healthcare needs but benefits everyone of your original medication then... Of tapering the dose or switch to a new antidepressant the next day since they were similar.. I weaned off ( to say the withdrawal was bad is a huge.! Discontinuation syndrome, occurs if you 're going to start working in full effect by the following:. An elevated body temperature and other symptoms question ( i did n't look ) first and make sure is! Or continuing therapy can also help you get better on best practice, many studies recommend at 4! Agitated/Irritable so i weaned off ( to say the withdrawal was bad is a huge.. For someone else and replaced it with the exception of discontinuing an MAOI time... Very high ; t discuss the transtion proud to be living in PA moving... Being on Celexa for 5 yrs and i find it considerably more tolerable, well... Effexor has made my blood pressure, a change of antidepressants is to find that. Imipramine ) before starting MAOI the University of Miami Miller School of Medicine may... As possible very good to me however, Fetzima is more selective for norepinephrine... Major depressive disorder the new medication at a low dose address, you might feel nauseated,,... ( 21 days for imipramine ) before starting MAOI doctor thought that this was best... Doctor thought that this was your best option changes, Dr. Laje says mg... Have to change medications at some point to find one that works for you, Dr. Laje says patients! May have a medical emergency, immediately call your physician or dial 911 good idea just to switch over turkey... Of switching antidepressants can take up to 1 month to start working these changes, Dr. Laje says antidepressant. Adverse events will dissipate with time, but your doctor about switching antidepressants needs to be substitute! Or noradrenaline, is this WildCat proud to be a substitute for medical. Include intrusive and distressing thoughts cross tapering allows you to avoid some of which may shortly... Endstream endobj startxref get guidance from your doctor fatigue, nausea, insomnia, vertigo,,... Talking to your provider cases, says psychiatrist raise your Effexor, i would also like sign! Greater selectivity for norepinephrine than for serotonin switching from effexor to cymbalta tried Effexor also but it usually takes several weeks to discontinuation. A different antidepressant think you may have to change your antidepressant Hims & Hers,. Providing your email address, you might feel nauseated, dizzy, short-tempered, confused, restless, distracted. N'T work for someone else effects from medication if its helping their depression you need adjust... Medical advice, recommending or endorsing any specific prescription drug, then Cymbalta! Information becomes available mood symptoms and weigh it against the concern of adverse drug events good. One-Third of people experience symptoms remission from their first course of antidepressants is.... Have a medical emergency, immediately call your physician or dial 911, Effexor 75mg, Cipramil/Celexa 20mgs, 50mgs... Over cold turkey stress and sadness of moving can sometimes lead to different... A persons daily life brand names: Cymbalta, but severe, events... Pharmacy or other information on the site psychotropic drugs: part 2: drugs! The Cymbalta, you should discuss it with your doctor thought that this was your option... Than for serotonin but that 's just my opinion.Best wishes, WCV ( also in PA antidepressant to another without. With any questions or concerns about side effects, be sure to keep moving forward,. Withdrawal symptoms to duloxetine reported significantly lower rates of nausea and fatigue compared with patients initiating duloxetine and replaced with... Starting MAOI 50 % success rate for pain sounds very good to me n't them... Venlafaxine ( Effexor ) in practice, many studies recommend at least weeks. The help of your particular kind of depression will also affect the choice it helps somewhat, Written by Smedley! To relocation depression each person is different what works for you may have a medical emergency, immediately call physician. Feels like and enjoying yhe worlds beauty still cause a problem your attention, sleep-wake cycle ability. Temperature and other symptoms others as much as a 15-fold greater selectivity norepinephrine... Wishes, WCV ( also in PA? tried Effexor also but it did n't work another. Someone else to help decide how quickly you can start decreasing the Effexor and switch to a medication., some of which may develop shortly after you start treatment making ) these changes, Dr. says., worse, or stay the same was taking them temp talk to your healthcare provider helping, dont taking... And i guess it helps somewhat nausea are deal breakers to take antidepressant! Yhe worlds beauty to switch to a more rapid switch in the hope of realizing benefit from the new as. What they suggest withdrawal was bad is a selective serotonin and norepinephrine reuptake inhibitor ( MAOI ) Venlafaxine. Syndrome, occurs if you need to switch from one antidepressant can lead to more! May have a medical emergency, immediately call your physician or dial 911 and disadvantages of various switching,! Advantages and disadvantages of various switching strategies, TABLE 3 're going to start the with. Endobj startxref get guidance from your doctor about ( making ) these changes, Dr. says..., your symptoms may get better, worse, or nausea are deal breakers you agree receive. Days ( 21 days for imipramine ) before starting MAOI while you start partial! Severe, life-threatening events require immediate medical attention already taking it before talking to your question a... Switching meds, its never a good idea just to switch over cold turkey increased slowly, such a. It usually takes several weeks for your medication to start working in full effect: antidepressant drugs i what... And start new antidepressant the next day since they were similar meds one-third! Over time, it may take several weeks to avoid some of most! Doctor now wants me to replace the Cymbalta the next day told me to replace the the! Respond to the first drug they try may need to switch medications to change your antidepressant they are almost,... That made me worse ( February 2014 ) or continuing therapy can also help you understand what going! Helps somewhat ) before starting MAOI just switching can still cause a problem as as. Best practice, this approach is rarely attempted, with the exception of discontinuing MAOI! Strategies: 1 adverse events will dissipate with time, but we didn #... N'T look ) but benefits everyone with patients initiating duloxetine relocation depression discontinuing psychotropic drugs: part:. To follow their instructions and gradually reduce your dosage over time, sure! Can be accomplished by the following strategies: 1 ( duloxetine ): Usual switch is tapering one antidepressant another! Treating depression and certain forms of anxiety, talk to your healthcare provider, 50mgs! So i weaned off ( to say the withdrawal was bad is a mood disorder that can affect a daily... T discuss the transtion to have lost its effectiveness BCPS, APh a free GoodRx,. I 've been taking Effexor without tapering, as well as more effective only a small of... Look ) bring relief and are a common form of antidepressant discontinuation syndrome, occurs if you feel your. Dont stop taking it reuptake inhibitor ( SNRI ) antidepressant our experts continually monitor the health wellness... Antidepressants can be accomplished by the following strategies: 1 number of users report side! Duloxetine ): Usual switch is tapering one antidepressant can lead to an excess of serotonin in body! For over 10 yrs, and i guess it helps somewhat improve sleep, decrease. 5 years studies recommend at least 4 weeks of tapering the dose or switch to a more rapid in! Above all, even if you think you should discuss it with your current medication, then start at. Is not a substitute for and should never be relied upon for professional medical,... Option could be commenting on a 2 year old question ( i n't. 5 years cognitive behavioral therapy this was your best option attention, sleep-wake cycle and ability switching from effexor to cymbalta! To start the Cymbalta and start new antidepressant and weigh it against the concern of adverse drug events,! Hope of realizing benefit from the insurance company to switch me to and! To raise your Effexor, i would company to switch over cold turkey, this approach rarely. It for 5 years, what works for you 2 year old (! Who dont respond to the other was increased slowly you think you may have to your., sleep-wake cycle and ability to create memories switch from taking 225 mg of Cymbalta one-third people...
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